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Contact Information

JUSTIN M DECKER, LGSW
626 REVOLUTION STREET
HAVRE DE GRACE, MD21078
 Phone: 410-939-8744
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for JUSTIN M DECKER · (Male)

NPI # 1083975445
Status Active
Credentials LGSW
Entity Individual
Enumeration date 06/01/2012
Last updated 06/01/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MD License # 17944
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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